张循善 输血治疗传统观念变革与更新2012省医学会.pptVIP

输血治疗传统观念的变革与更新;主要内容;询证输血医学新观念;Crit Care Med 2009 Vol. 37, No. 12. 3124;败血症患者要求较高Hb水平的适应证不包括支持目的;FFP适应证不包括抗感染输注FFP不能作为支持疗法;重症患者输注红细胞导致的不良转归;;鹿榴蓄乞埋衬堂哦头娄谓痘藉铭鸵束裹涌重哄粒敌靛绕乃紧债虐朝抹劫殆张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗传统观念变革与更新2012省医学会;腐垫玫寒足儒哆帝川良烽砖铃轨潮匡猿积求栈凡圆碾灼棒止额蜕顶荤咨察张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗传统观念变革与更新2012省医学会;;;Analysis of 24,112 enrollees in 3 large international trials of patients with acute coronary syndromes Association between transfusion and outcome Cox proportional hazards modeling Main outcome = 30 day mortality;Blood Transfusion and Clinical Outcome in Acute Coronary Syndrome; 研究对象;;俯减渍狂灯目赊谅颁积帘鼻乾捣带彩丝远菌含恫翰胯蜂捉漏仔哎馋简涟统张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗传统观念变革与更新2012省医学会;15,592 Cardiovascular operations Infection endpoints bacteremia, SSI 55% of pts received PRBCs, 21% plts, 13% FFP, 3% cryoprecipitate Increased RBC tx associated with increased infection (p 0.0001), confirmed by logistic regression analysis.;Effect of Blood Transfusion on Long-Term SurvivalAfter Cardiac Operation;患者输注红细胞导致的不良转归机制;慑腺匝袱愈温宿寐戒寒坐匡膜沏蟹杠吾磺染枣兜秘蔚扇鲜后阶赁禁瞅中皋张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗传统观念变革与更新2012省医学会;耳匙堰腾姑绳苯多尖作泳索逮摇瘪编键疼角裙坡傻爬提肘徽笨否喊嘛香婆张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗传统观念变革与更新2012省医学会;研究结果;Immune Effects of Blood;;手术切口愈合紊乱诊断标准;underwent laparotomy（剖腹术） underwent gastrectomy （胃切除） underwent gastroduodenostomy（胃十二指肠吻合术） CONCLUSIONS: Blood transfusions increased the incidence of anastomotic abscess（脓肿） and impaired anastomotic wound healing. ; 2001 and June 2005 we have performed a prospective observational study in 1553 elective and emergency patients who underwent median sternotomy for heart surgery. CONCLUSIONS: According to our results, the total amount of allogeneic blood transfused is a major factor contributing to sternal dehiscence （胸骨裂开）regardless of other risk preconditions. European Journal of Anaesthesiology: May 2006 - Volume 23 - Issue - p 1-2;Colorectal Dis.2007V9N4:362-7 ;凡国咨氨逊帜淫蜂冤锅纠康糟莽顺凋既莲觉谆纫棍检钒剩尔维叼希不柱密张循善 输血治疗传统观念变革与更新2012省医学会张循善 输血治疗